Neuropsychological Functioning and Psychosocial Outcome in Adults with Attention-Deficit/Hyperactivity Disorder

被引:2
作者
Sobanski, Esther [1 ,2 ]
Sirtl, Alexandra [1 ]
Alm, Barbara [1 ]
Hennig, Oliver [1 ]
Banaschewski, Tobias [3 ]
机构
[1] Heidelberg Univ, Klin Fak Mannheim, Zentralinst Seel Gesundheit, Klin Psychiat & Psychotherapie, D-69115 Heidelberg, Germany
[2] AHG Klin Psychosomat, Bad Durkheim, Germany
[3] Heidelberg Univ, Klin Fak Mannheim, Zentralinst Seel Gesundheit, Klin Kinder & Jugendpsychiat & Psychotherapie, D-69115 Heidelberg, Germany
关键词
adult ADHD; attention deficit hyperactivity disorder; psychosocial impairment; neuropsychology; DEFICIT HYPERACTIVITY DISORDER; EXECUTIVE FUNCTION DEFICITS; SUSTAINED ATTENTION; ADHD; IMPAIRMENT; CHILDHOOD; CHILDREN; IMPACT; HETEROGENEITY; COMORBIDITY;
D O I
10.1024/1016-264X/a000129
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study explores the association of neuropsychological functioning with ADHD-symptoms and psychosocial functioning in a clinical sample of 131 adults with ADHD. Neuropsychological functioning was assessed with the computerized Test Battery of Attentional Performance (TAP). Overall psychosocial impairment was assessed with the Global Assessment of Functioning Scale (GAF). Neuropsychological performance was impaired in 39.6 % of the ADHD-patients meeting a predefined impairment criterion of a perfomance reduction of 1.5 standard deviations below normative controls in >= 2 TAP-subtests; 28.4 % of the patients showed regular performance in all neuropsychological tests. Severity of neuropsychological impairment was inversely correlated to severity of psychosocial impairment (GAF score; = -.24, p < .001) hut not to childhood or adult ADHD symptoms. Overall severity of neuropsychological impairment explained 10 % (p < .05) of variance of psychosocial impairment.
引用
收藏
页码:17 / 26
页数:10
相关论文
共 57 条
[11]   Stability of executive function deficits into young adult years: a prospective longitudinal follow-up study of grown up males with ADHD [J].
Biederman, J. ;
Petty, C. R. ;
Fried, R. ;
Doyle, A. E. ;
Spencer, T. ;
Seidman, L. J. ;
Gross, L. ;
Poetzl, K. ;
Faraone, S. V. .
ACTA PSYCHIATRICA SCANDINAVICA, 2007, 116 (02) :129-136
[12]   Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children [J].
Biederman, J ;
Monuteaux, MC ;
Doyle, AE ;
Seidman, LJ ;
Wilens, TE ;
Ferrero, F ;
Morgan, CL ;
Faraone, SV .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2004, 72 (05) :757-766
[13]   Adult Outcome of Attention-Deficit/Hyperactivity Disorder: A Controlled 16-Year Follow-Up Study [J].
Biederman, Joseph ;
Petty, Carter R. ;
Woodworth, K. Yvonne ;
Lomedico, Alexandra ;
Hyder, Laran L. ;
Faraone, Stephen V. .
JOURNAL OF CLINICAL PSYCHIATRY, 2012, 73 (07) :941-950
[14]   Examining the Association Between Stimulant Treatment and Cognitive Outcomes Across the Life Cycle of Adults With Attention-Deficit/Hyperactivity Disorder A Controlled Cross-Sectional Study [J].
Biederman, Joseph ;
Fried, Ronna ;
Petty, Carter R. ;
Henin, Aude ;
Wozniak, Janet ;
Corkum, Lyndsey ;
Claudat, Kim ;
Faraone, Stephen V. .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 2012, 200 (01) :69-75
[15]   Are cognitive deficits in attention deficit/hyperactivity disorder related to the course of the disorder? A prospective controlled follow-up study of grown up boys with persistent and remitting course [J].
Biederman, Joseph ;
Petty, Carter R. ;
Ball, Sarah W. ;
Fried, Ronna ;
Doyle, Alysa E. ;
Cohen, Daniel ;
Henderson, Carly ;
Faraone, Stephen V. .
PSYCHIATRY RESEARCH, 2009, 170 (2-3) :177-182
[16]   Discordance Between Psychometric Testing and Questionnaire-Based Definitions of Executive Function Deficits in Individuals With ADHD [J].
Biederman, Joseph ;
Petty, Carter R. ;
Fried, Ronna ;
Black, Sarah ;
Faneuil, Alicia ;
Doyle, Alysa E. ;
Seidman, Larry J. ;
Faraone, Stephen V. .
JOURNAL OF ATTENTION DISORDERS, 2008, 12 (01) :92-102
[17]   Impact of psychometrically defined deficits of executive functioning in adults with attention deficit hyperactivity disorder [J].
Biederman, Joseph ;
Petty, Carter ;
Fried, Ronna ;
Fontanella, Jessie ;
Doyle, Alysa E. ;
Seidman, Larry J. ;
Faraone, Stephen V. .
AMERICAN JOURNAL OF PSYCHIATRY, 2006, 163 (10) :1730-1738
[18]   To Act or Not to Act, That's the Problem: Primarily Inhibition Difficulties in Adult ADHD [J].
Boonstra, A. Marije ;
Kooij, J. J. Sandra ;
Oosterlaan, Jaap ;
Sergeant, Joseph A. ;
Buitelaar, Jan K. .
NEUROPSYCHOLOGY, 2010, 24 (02) :209-221
[19]  
Buhner M., 2009, Statistik fur Psychologen und Sozialwissenschaftler
[20]   Characterizing cognition in ADHD: beyond executive dysfunction [J].
Castellanos, FX ;
Sonuga-Barke, EJS ;
Milham, MP ;
Tannock, R .
TRENDS IN COGNITIVE SCIENCES, 2006, 10 (03) :117-123